Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Samantha Jo Doxtator, MS, LPC-IT, NCC

Individual provider Mental Health Counselor · NPI 1376372839

Mrs. Samantha Jo Doxtator, MS, LPC-IT, NCC is a Mental Health Counselor in Appleton, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

1835 E Edgewood Dr Ste 105107
Appleton, WI 54913-9407
Phone: (920) 234-6842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 8050226 (WI)

Record details

NPI number1376372839
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LPC-IT , NCC
Sole proprietorYes
NPI enumeratedJuly 31, 2024
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024

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